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General NPI Number Information
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NPI Number | 1962208512
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Entity Type | Organization
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Legal Business Name | PARIS SMILES PLLC
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 707 LAMAR AVE
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City | PARIS
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State | TX
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Zip | 75460-4492
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Country | US
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Telephone | 903-609-0567
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Fax |
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Provider Business Mailing Address
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Address Line | 817 CALCOT DR
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City | COPPELL
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State | TX
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Zip | 75019-6610
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DEEPTI NAMINENI
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Credential |
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Telephone | 903-609-0567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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